Understanding referral from primary care clinics in rural Kenya: using health information systems to prioritize health services

2003 ◽  
Vol 18 (1) ◽  
pp. 23-39 ◽  
Author(s):  
Kate Macintyre ◽  
Mohamed Lochigan ◽  
Frederick Letipila
Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.


Author(s):  
Ericka Silva Holmes ◽  
Sérgio Ribeiro dos Santos ◽  
Alexandra Fraga Almeida ◽  
Jéssica Helena Dantas de Oliveira ◽  
Gyl Dayara Alves de Carvalho ◽  
...  

2017 ◽  
Vol 56 (S 01) ◽  
pp. e13-e19 ◽  
Author(s):  
Fernan Gonzalez Bernaldo de Quiros ◽  
Adriana Dawidowski ◽  
Silvana Figar

SummaryObjectives: In this study, we aimed: 1) to conceptualize the theoretical challenges facing health information systems (HIS) to represent patients’ decisions about health and medical treatments in everyday life; 2) to suggest approaches for modeling these processes.Methods: The conceptualization of the theoretical and methodological challenges was discussed in 2015 during a series of interdisciplinary meetings attended by health informatics staff, epidemiologists and health professionals working in quality management and primary and secondary prevention of chronic diseases of the Hospital Italiano de Buenos Aires, together with sociologists, anthropologists and e-health stakeholders.Results: HIS are facing the need and challenge to represent social human processes based on constructive and complexity theories, which are the current frameworks of human sciences for understanding human learning and socio-cultural changes. Computer systems based on these theories can model processes of social construction of concrete and subjective entities and the interrelationships between them. These theories could be implemented, among other ways, through the mapping of health assets, analysis of social impact through community trials and modeling of complexity with system simulation tools.Conclusions: This analysis suggested the need to complement the traditional linear causal explanations of disease onset (and treatments) that are the bases for models of analysis of HIS with constructive and complexity frameworks. Both may enlighten the complex interrelationships among patients, health services and the health system. The aim of this strategy is to clarify people’s decision making processes to improve the efficiency, quality and equity of the health services and the health system.


Information systems have been standing out and constantly evolving due to changes and the economic impact they produce on organizations and society, and also due to the evolution of information technology itself. These systems are made up of a structure capable of guaranteeing the collection and transformation of data into information, and the involvement of professionals in processes of selection, collection, classification, storage, analysis, dissemination and data retrieval is essential. Mobile technologies offer support so that information systems can be implemented and used more efficiently and quickly, but there are many obstacles, such as the unavailability of technological resources by a large part of the population, difficulties in accessing and connecting, among others. The methodology used to carry out this study was the bibliographical research through literature analysis of scientific articles and other texts. It was concluded that health information systems and mobile technologies tend to conquer more space each day, as they provide more agility and quality in health services, but it is still necessary to improve the population's access to these technological resources.


2021 ◽  
pp. 317-327
Author(s):  
Lutfan Lazuardi ◽  
Guardian Yoki Sanjaya ◽  
Pungkas Bahjuri Ali ◽  
Renova Glorya Montesori Siahaan ◽  
Lia Achmad ◽  
...  

: Introduction : Maternal and child health (MCH) is a global priority as health care innovation continues to evolve, including the use of information and communication technology. Studies showed that interoperable information systems can improve the quality of health services and at the same time facilitate the integration of data for the purpose of monitoring and evaluating the performance of health services, especially MCH. Aims : This study aims to identify various maternal and child health information systems used in Indonesia and opportunity of interoperability between systems to support continuum of care services. Methodology: Qualitative descriptive research was conducted in Yogyakarta Province from November to December 2020. This study assessed MCH applications that have been used in public and private primary health care, hospitals, health offices and in the community by identifying their functions and mapped data elements used by each application to assess potential interoperability between systems. The online focus group discussions with various application providers was conducted to explore the challenges of interoperability between digital systems. Results and Discussion : There were 18 maternal and child health information systems have been developed by the government (central and local), health facilities and private sector. The initiation of interoperability between systems has not yet occurred, except to support regular reporting at the health office and Ministry of Health level. Interoperability between information systems required efforts to improve information technology facilities and infrastructure, development of health data standards, strengthening governance and regulation and utilization of data as an effort to monitor, evaluation and continuity of interoperability between systems to support the digitalization of services and routine reporting. Conclusions and Recommendations : Digitalization of MCH services in Indonesia has the opportunity to support the continuum of care through an interoperable system. However, several enabler factors need to be prepared to support interoperability between information systems.


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